What's the name of the ECG thingy that nurses put on a lot of peds patients?

  1. It's not an ECG per se, because an ECG would have 15 or so different leads that get placed all over the patient's body in order to get a reading.

    But there's this thingy... it's like an ECG, but there's only 3 leads and it goes into the cardiac monitor screen. There's a red wire, a black wire, and a white wire, so "smoke over fire, white is right" is used to place this thing's leads.

    What's it called?
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  2. 13 Comments

  3. by   Sezza83
    We call it a 3 lead ECG in Australia
  4. by   itsnowornever
    Called a 3 lead ECG in California too!

    Posting from my phone, ease forgive my fat thumbs!
  5. by   DeBerham
    Not sure, but I think I would call that a 3 lead in Maryland...
  6. by   funfunfun550
    A heart monitor..
  7. by   eatmysoxRN
    Telemetry?

    ~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~
  8. by   turnforthenurse
    I'm also going to say telemetry....? Not sure if there is a special "name" for it.

    The 3-lead telemetry monitoring is typically used as a transport monitor. It offers two different views of the heart: lateral & inferior. The ER at my hospital uses this when transporting patients.

    The 5-lead telemetry monitoring, in addition to monitoring the lateral & inferior parts of the heart, also monitors the anterior part. We use 5-lead monitoring in ICU, CCU & PCU.

    The 12-lead allows to look at most surfaces of the heart and to look for changes. I can't say all surfaces because on a 12-lead, you can't see the posterior wall of the heart (you only look for reciprocal changes on the EKG) and we do not routinely do right-sided EKGs (only really indicated if you have an inferior wall MI). It is the gold standard to diagnose an MI and to confirm rhythm changes. 12-leads are not used to routine monitoring. If a patient is complaining of chest pain/discomfort or I notice a new rhythm change on the monitor (whether it's 3 or 5-lead) I will get a STAT 12-lead.
  9. by   delrepublica1776
    ohhh ok
  10. by   Vespertinas
    Quote from turnforthenurseRN
    The 5-lead telemetry monitoring, in addition to monitoring the lateral & inferior parts of the heart, also monitors the anterior part. We use 5-lead monitoring in ICU, CCU & PCU.
    I sort of think it's overkill but many of the ICUs I work in now are using both whips (12 lead) for continuous monitoring.
  11. by   Do-over
    Quote from Vespertinas
    I sort of think it's overkill but many of the ICUs I work in now are using both whips (12 lead) for continuous monitoring.
    The monitors must be huge...
  12. by   Vespertinas
    Bedside. The size of one of those small kitchen TVs
  13. by   akulahawkRN
    I've seen 12/15-lead units that are no bigger than typical 3-lead units. Unless there's a possibility of MI, you normally don't need to use the 12 or 15 lead monitoring. What they're normally "looking" for is rate and rhythm changes when a patient is on an EKG monitor. What's the difference to the patient? A whole lot of wires and a whole lot of medical stability... The more wires, the less stable the patient will be, from a myocardial standpoint...
  14. by   Vespertinas
    Yeah, there's definitely that possibility in the Cardiovascular/thoracic SICU/IMC.

    I mean, it's cool. We can pull ECGs from it when needed without scrambling for a machine.

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